Chamber and committees

Any decision on whether or not to introduce a new national screening programme in Scotland is guided by the recommendations of the UK National Screening Committee (UK NSC), an independent expert advisory group which advises all four nations of the United Kingdom on screening policy. In 2017, the UK NSC recommended against the introduction of a Group B Streptococcus (GBS) screening programme. If a recommendation is made by the UK NSC to introduce GBS screening then the Scottish Screening Committee, in consultation with medical experts in this field, will advise Scottish Ministers on the most appropriate course of action for Scotland.

The GBS3 clinical trial , run by the Nottingham Clinical Trials Unit, is looking to gather evidence on whether a universal screening programme would be both clinically and cost effective. The UK NSC will review the evidence for screening once findings from the GBS3 clinical trial are published and the Scottish Screening Committee will give careful consideration to any recommendation the NSC makes. All NHS Boards have been made aware of the opportunity to participate in the GBS3 trial.

We expect NHS Boards to follow the most up-to-date, evidence-based guidance in the diagnosis, management and treatment of Group B Streptococcus infection in pregnant women and their babies. NICE guideline NG195, Neonatal infection: antibiotics for prevention and treatment , published on 20 April 2021 and developed in partnership with the Royal College of Obstetricians and Gynaecologists (RCOG), is the most recent clinical guidance available.

All pregnant women in Scotland are provided with a copy of Ready, Steady, Baby! ( RSB!), a guide to pregnancy, labour and birth and early parenthood up to 8 weeks. RSB! is also available via the NHS Inform website and includes information on GBS . The RCOG Group B Streptococcus in pregnancy and newborn babies leaflet is also provided to women.

Through the Women’s Health Plan, we want all women to have timely access to menopause support and services. For those who need specialist support beyond primary care, there is now a specialist menopause service in every mainland NHS Board.

For women living in the areas of Island health boards there is a “buddy” system in place. This system allows Island GPs and health practitioners to seek advice from one of the mainland menopause specialist services to support their more complex patients. Alternatively, they can refer patients to one of the mainland services, if they meet the referral criteria. Consultations take the form of a discussion, usually by phone or video, meaning patients do not routinely need to travel to the mainland.

The National Menopause Specialists Network complements this service and meets regularly to provide consistent advice and peer support to health care professionals across Scotland.

There are no plans to review home educated pupils' entitlement to free school meals at present. Free school meals are not normally provided for children and young people whose parents have chosen to home educate them, as the local authority is not responsible for providing their education. Free school meals would only be provided to children and young people who are not receiving their education at a local authority run school if they had entered into an agreement to do so through their local authority. The Scottish Government is not normally made aware of these arrangements.

Local authorities have the flexibility to make discretionary offers of free school meals to families experiencing financial hardship due to exceptional circumstances if they do not meet the regular eligibility criteria. We would urge any families who are home educating their children and experiencing financial hardship to contact their local authority to enquire about what alternative forms of assistance might be available to them.

Families can also access Money Talk Team, a free service provided by Citizen’s Advice on behalf of the Scottish Government that helps to ensure that families are receiving all available benefits and are not paying more than is required for services. More information about this service can be found online at https://moneytalkteam.org.uk/ or by calling their free phone helpline on 0800 085 7145.

The increasing options for flexible working available through less than full-time training (LTFT), has had a positive impact on the demographics of the medical profession.

Women’s participation in medicine is currently at a good level. There are proportionately more women than men graduating from Scottish medical schools. The requirement for Scottish trainee doctors (junior doctors) to provide gender details is not mandatory, but of the 4,744 of 6,167 current trainees in medical programmes who have disclosed this information, 2,787 are women against a figure of 1,957 for men. Across the UK, women make up just under 48% of all doctors. However, the number of licenced women doctors has been increasing at a higher rate than doctors who are men, year-on-year.

There are currently 53 trainees in cardiology programmes, of the 37 who have provided information on gender, 11 are women, against a figure of 26 for men. Historically, cardiology has been dominated by doctors who are men, an issue that is not specific to Scotland. In recognition of the gender disparity, the Cardiology Specialty Training Board is taking steps to address the issue. This includes a review of their membership and that of the Speciality Training Committee memberships across the regions, in terms of both gender and ethnicity.

Information on the number of epilepsy clinical specialist nurses currently employed by NHS Scotland is not centrally held.

Information on the how many patients are currently assigned an epilepsy specialist nurse is not centrally held.

I refer the member to the answer to question S6W-09419 on 13 July 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

I refer the member to the answer to question S6W-09419 on 13 July 2022. All answers to written Parliamentary Questions are available on the Parliament's website, the search facility for which can be found at https://www.parliament.scot/chamber-and-committees/written-questions-and-answers .

The Scottish Government encourages all eligible individuals between the ages of 25 and 64 to take up their cervical screening invitations.

A key priority for the Scottish Government is to reduce inequalities in access to and uptake of screening programmes, taking into account the available evidence of screening inequalities based on age as well as deprivation, ethnicity and gender.

That is why the Scottish Government is investing over £2m over 2021-22 and 2022-23 to build a programme of evidence-based, sustainable and scalable projects that tackle inequalities in a systemic way. It also recognises that the pandemic is likely to have exacerbated screening inequalities.

The Scottish Government has also awarded £456,000 to Jo’s Cervical Cancer Trust in support of cervical awareness campaign work which is being used to tackle key issues around access and uptake. This work has included the Cervical Screening Awareness Week which ran in June, and for a longer-term Cervical Cancer Screening and Prevention Awareness project. The project will raise awareness of cervical cancer screening and prevention in Scotland for the period 2022-2024 through Jo’s Cervical Cancer Trust expanding operations in Scotland to develop and share best practice in raising awareness of cervical cancer screening and prevention.

Work to understand and tackle barriers to cervical screening is on-going. Public Health Scotland (PHS) has published Cervical Screening Toolkit (healthscotland.scot) , which aims to address falling attendance rates and increase understanding of cervical cancer and the benefits of cervical screening. The information aims to help professionals to better understand the barriers to attendance (especially with vulnerable groups) and to use tried and tested methods to increase attendance.

Scottish Government officials continue to engage with key stakeholders, including PHS and the National Screening Oversight (NSO) on the most effective method of implementing interventions. The £2 million screening inequalities funding that we are investing over 2021-22 and 2022-23 is supporting that wide ranging work nationally, including through a dedicated screening inequalities resource within NSO, and local funding across all Health Boards.

Additionally, we are funding Jo’s Cervical Cancer Trust with £456,000 for cervical campaign work across Scotland to raise cervical screening awareness, and that includes targeted engagement with groups where attendance has been found to be lower. That follows on from a report we commissioned from Jo’s Cervical Cancer Trust which looked at barriers to cervical screening: https://www.jostrust.org.uk/sites/default/files/report_on_scottish_cervical_screening_survey_-_final.pdf.